Provider Demographics
NPI:1235524257
Name:OPEN DOORS, LLC
Entity Type:Organization
Organization Name:OPEN DOORS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:LEIF
Authorized Official - Middle Name:ERIKSUN
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW
Authorized Official - Phone:502-795-8133
Mailing Address - Street 1:2410 FRANKFORT AVE
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40206-2592
Mailing Address - Country:US
Mailing Address - Phone:502-795-8133
Mailing Address - Fax:
Practice Address - Street 1:2410 FRANKFORT AVE
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40206-2592
Practice Address - Country:US
Practice Address - Phone:502-795-8133
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2015-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health